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Case Manager UR Care Coordination Mercy St. Charles

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Job ID: 4669365
Updated: November 2, 2018
Geographic Location: Toledo
Department: Care Coordination
Full/Part Time: Full-Time
Shift: Days
Standard Hours: 36

Job Summary

Manages patient transitions of care through the hospital and then to the appropriate post-acute setting. Assures third-party payer approval for any services provided. Assures appropriate documentation to support patient status, level of care and DRG.

 

Qualifications - Minimum

Education:

Current RN license in the state of Ohio.

BSN preferred, or must be obtained within 3 years.

 

Experience:

Must have a minimum of 3 years clinical experience. Clinical specialty or case management certification preferred.

 

Case Management experience preferred.

 

Case Management certification preferred.

 

Ability to analyze clinical, financial and social situations, identifying problems and alternative courses of action.

 

Willingness to be flexible, resourceful, and creative in problem solving.

 

Ability to act independently and offer suggestions and new ideas for improving performance and operations.

 

Ability to guide and direct the health care team to assure optimal outcomes.  Clinical expertise in specialty area.

 

Ability to organize and present information clearly and concisely.

 

Demonstrated interpersonal skills in order to effectively communicate with physicians, patients, families and other members of the interdisciplinary team.

 

Creative problem solving and critical thinking.

 

Excellent customer service skills.

 

Working knowledge of DRG assignment.

 

Current CPR certification required.  ACLS and other certifications may be required.

 

A minimum of 5 years clinical experience is required

 

Hours

Hours per pay period: 72

Hours: 7:00am to 4:30pm

Every third weekend  every third holiday required. 

Previous Utilization Review experience preferred. 

BSN preferred. 

Must have a minimum of 5 years of clinical experience.

 

Shift and Job Schedule

Job Shift: Days, Job Schedule: Full-Time

 

Equal Employment Opportunity

It is our policy to  abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a), prohibiting discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibiting discrimination against all individuals based on their race, color, religion, sex, sexual orientation, gender identity, or national origin.

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Date Last Modified: 9/11/2018 4:00:00 PM